Individual
SANDHYA R MAKKAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07681400
NJ
207L00000X
Anesthesiology Physician
Primary
25MA07681400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035297
—
NJ
Enumeration date
05/23/2005
Last updated
03/27/2015
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